与高剂量胺注入治疗耐火性疼痛和精神疾病相关的不良影响
Elika D Javaheri1, Christopher Wie2, Stephen Covington2
1Mayo Clinic Alix School of Medicine, Phoenix, AZ, USA. javaheri.elika@mayo.edu.
Current pain and headache reports
|June 19, 2025
概括
高剂量胺 (HDK) 的使用与精神问题如兴奋和焦虑有关,除了恶心和暂时肝损伤等身体影响. 建议在临床环境中进行仔细监测,因为不良事件往往取决于剂量.
科学领域:
- 麻醉学 麻醉学
- 药理学 药理学是指药理学的学科.
- 毒理学 毒理学 毒理学
背景情况:
- 高剂量的胺越来越多地用于各种疾病,包括复杂区域疼痛综合征 (CRPS).
- 了解与高剂量胺 (HDK) 相关的不良反应 (AE) 对安全的临床实践至关重要.
研究的目的:
- 审查和检查明确与高剂量胺 (HDK) 相关的常见不良影响.
主要方法:
- 对调查高剂量胺的不良影响的研究的文献综述.
- 分析不同给药途径 (口服,静脉注射,鼻内注射) 报告的精神和身体不良事件.
主要成果:
- HDK经常与精神病性AE有关,包括兴奋,焦虑和睡眠障碍.
- 吐 (恶心和吐) 是一个常见的AE,在较高的胺剂量下,患病率增加.
- 肝毒性和胺诱导的尿路病变是潜在的副作用,肝毒性取决于剂量,通常是短暂的.
结论:
- 虽然HDK在医院环境中进行适当的管理和监测时看起来是安全的,但临床医生必须意识到潜在的剂量依赖的不良影响.
- 精神症状,吐,肝毒性和尿路病变是HDK治疗中需要考虑的关键不良事件.
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